Active NPI
Darrell M Brooks
- Professional Counselor
- College Park, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006201
- Practice address
- 5524 Old National Hwy
Ste B
College Park, GA 30349-3212 - Phone
- (404) 763-8555
- Fax
- (404) 763-8502
- NPI assigned
- Aug 15, 2012
- Last updated
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006201 | GA | Primary |
Addresses
Primary practice location
5524 Old National Hwy
Ste B
College Park, GA 30349-3212
Mailing address
4132 Atlanta Hwy
Ste 110-224
Loganville, GA 30052-4930
Phone (678) 288-6550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Lake Park Dr SE
Suite 123
Smyrna, GA 30080-7639
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006201 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Helping Hands Community Based Services, Inc. | Past | Accepting new patients | |
| Lillie Cares Health Services, LLC | Past | Accepting new patients | |
| Gye Nyame Therapeutic Counseling | Past | Accepting new patients |
Locations
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
1800 Lake Park Dr SE
Ste 123
Smyrna, GA 30080
Phone (404) 720-9800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1942565346
-
- Case Management Agency
- Atlanta, GA
- NPI 1669702510
-
- Community/Behavioral Health Agency
- Brunswick, GA
- NPI 1922360239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1477800993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 ATLANTA HWY",
"address_2": "STE 110-224",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300524930",
"telephone_number": "678-288-6550",
"fax_number": "678-288-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 OLD NATIONAL HWY",
"address_2": "STE B",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303493212",
"telephone_number": "404-763-8555",
"fax_number": "404-763-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "DARRELL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
- Bridge the Journey, LLC
- Bridges of Success, Inc.
- Brighter Path & Associates, Inc.
- Sherri Marie Broadwater, MD
- Antoine Brooks, D.C.
- Latisias E Brooks, PHARM D
- Brother 2 Brother Non Emergency Transportation Limo Service, LLC
- Adrian Michelle Brown, LMSW
- Daleisha Brown, LPN
- Faye Ann Buffaloe, CAC II, CCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.